CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Adventist Health Hanford

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97140
Insurance Median: $128
Cash Discount Price: $45
vs. Medicare Baseline: 4.62x Medicare

The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Adventist Health Hanford is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 4.62x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)

Cash / Self-Pay: $45 (162%)

Insurance Median: $128 (462%)

Cash: $45 (162% of Medicare)

Ins. Median: $128 (462% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 462% of the Medicare baseline (a markup of 362%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Shield Mcr Adv	$29	105%
Fhcn Pace Mcr Adv-All Plans	$29	105%
Healthnet Mcr Adv	$29	105%
Kaiser Mcr Adv	$29	105%
Prime Health Mcr Adv- All Plans	$29	105%
Tricare	$29	105%
UnitedHealthcare	$29 - $292	105%
Kaiser Mcal	$32	115%
Medi-Cal	$32	115%
Bc Mcal	$42	152%
Healthnet Mcal	$42	152%
Bright Health Mcr Adv-All Plans	$46	166%
Ah Employee Health Plan - All Plans	$52	188%
Fresno - All Plans	$53	191%
Valley Childrens - All Plans	$54	195%
Key Medical Group Commercial - All Other Plans	$75	271%
Key Medical Mcr Adv	$75	271%
Aetna	$87 - $402	314%
Western Growers/Pinnacle- All Plans	$112	404%
Kaiser - All Other Plans	$120	433%
Healthnet - All Other Plans	$128	462%
Cigna	$142	512%
Interplan- All Plans	$150	541%
Phcs Ppo- All Plans	$155	559%
Community Hlth Ntwork-All Plans	$160	577%
First Health - All Plans	$186	671%
Choicecare- All Plans	$196	707%
Multiplan- All Plans	$198	714%
Beech Street- All Plans	$203	732%
Preferred Health Network- All Plans	$227	819%
Pacific Health Alliance- All Plans	$232	837%
Blue Shield Epn	$347	1252%
Blue Cross Blue Shield	$365 - $492	1317%
Blue Shield Non-Epn - All Other Plans	$409	1475%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $45.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97140.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Hanford is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97140.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.